NCCN Guidelines for Patients® | Stages I and II Breast Cancer - page 26

NCCN Guidelines for Patients
®
Stages I and II Breast Cancer, Version 1.2014
24
3
Surgery/reconstruction Which breast surgery can I have?
Which breast surgery
can I have?
Deciding factors
A total mastectomy is an option for all women with
stages I and II breast cancer who are healthy enough
to have surgery. An example is women who have no
serious heart problems. In contrast, not all women are
able to have a lumpectomy. Radiation therapy is
almost always given after lumpectomy. This combined
treatment is called breast-conserving therapy. Breast
surgeries are recommended based on the factors in
the chart below.
Deciding factors
Can I have a mastectomy?
Yes, if all of these factors
describe you
• Have stage I or II breast cancer, AND
• Are healthy enough for surgery.
Can I have breast-conserving therapy?
No, if any of these factors
describe you
• Have cancer that needs radiation while you are
pregnant,
• Have two or more tumors that can’t be removed
through one cut,
• Have signs of cancer throughout your breast, OR
• Have had a lumpectomy with many areas of cancer in
the
surgical margin
.
Maybe not, if any of these
factors describe you
• Have had prior radiation close to where the cancer is,
• Have a connective tissue disease that affects your skin,
• Have a breast tumor larger than 5 cm,
• Have a surgical margin with one area of cancer, OR
• Are genetically predisposed to breast cancer.
Yes, if all of these factors
describe you
• Haven’t had radiation close to where the cancer is,
• Can have all cancer removed through one cut,
• Your breast won’t be too disfigured afterward,
• Have a cancer-free surgical margin from lumpectomy,
• Have no health conditions that might cause problems,
AND
• Aren’t genetically predisposed to breast cancer.
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